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Original articles  EPIDEMIOLOGY AND CLINICAL MEDICINE


The Journal of Sports Medicine and Physical Fitness 2003 December;43(4):513-20

Copyright © 2009 EDIZIONI MINERVA MEDICA

lingua: Inglese

Improvements in physical fitness of non-psychotic psychiatric patients following psychomotor therapy programs

Knapen J. 1, 2, Van De Vliet P. 1, Van Coppenolle H. 1, 2, David A. 1, 2, Peuskens J. 1, 3, Knapen K. 4, Pieters G. 2

1 Faculty of Physical Education and Physiotherapy, Katholieke Universiteit Leuven, Leuven, Belgium 2 University Center Sint-Jozef, Kortenberg, Belgium 3 Faculty of Medicine, Katholieke Universiteit Leuven, Leuven, Belgium 4 SAS Institute NV, Tervuren, Belgium


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Aim. To inves­ti­gate the ­changes in phys­ical fit­ness ­after par­tic­i­pa­tion in 1 of 2 psy­cho­motor ­therapy pro­grams in a ­sample ­group of non-psy­chotic psy­chi­atric ­patients.
­Methods. Experi­mental ­design: ran­dom­ized con­trolled par­allel ­group ­trial ­with ­follow-up meas­ures ­after 8 ­weeks and ­after 16 ­weeks. Set­ting: 3 treat­ment ­units of a uni­ver­sity psy­chi­atric hos­pital in Bel­gium. ­Patients: 141 (51 ­males, 90 ­females) ­patients ­with ­severe depres­sive and/or anx­ious symp­toms, and/or per­son­ality dis­or­ders. Inter­ven­tions: ­patients fol­lowed a per­son­al­ized psy­cho­motor fit­ness pro­gram (PF), con­sisting of ­aerobic and resis­tance ­training, or a gen­eral pro­gram of psy­cho­motor ­therapy (­GPMT), con­sisting of dif­ferent ­forms of phys­ical exer­cises and relax­a­tion ­training. Meas­ures: the max­imum ­dynamic ­strength, the ­strength endu­rance and phys­ical ­work ­capacity at 60% and 80% of the esti­mated max­imal ­heart ­rate ­reserve.
­Results. ­After 8 ­weeks it was ­observed ­that the PF ­group ­enhanced in all param­e­ters of ­cardio-res­pir­a­tory as ­well as mus­cular fit­ness; the ­GPMT ­group had ­improved in 7 out of the 9 mus­cular fit­ness meas­ure­ments. At the end of the 16 ­weeks, ­both ­groups had ­shown an improve­ment in all of the mus­cular fit­ness param­e­ters, but ­only the PF ­group had ­increased in ­cardio-res­pir­a­tory fit­ness.
Con­clu­sion. In ­order to ­improve ­both mus­cular and ­cardio-res­pir­a­tory fit­ness in ­these ­patients, a bal­anced per­son­al­ized ­training pro­gram, ­which ­includes ­aerobic and resis­tance ­training, is nec­es­sary ­during a ­period of at ­least 8 ­weeks. The ­less spe­cific ­GPMT, ­when fol­lowed for a ­period of 16 ­weeks, is suf­fi­cient for ­improving mus­cular fit­ness and for main­taining ­cardio-res­pir­a­tory fit­ness.

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